Individual provider Active NPI

Eric M Ramos Malpica, PA

  • Physician Assistant
  • Everett, WA
National Provider Identifier
1083061352
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60794472 Issued in WA
Practice address
9930 Evergreen Way Ste Z150
Everett, WA 98204-3889
Phone
(425) 347-5121
Fax
(425) 353-6425
NPI assigned
May 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60794472 WA Primary

Addresses

Primary practice location

9930 Evergreen Way Ste Z150
Everett, WA 98204-3889

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Other practice location 1

11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Phone (425) 287-5500

Other practice location 2

2322 196th St SW
Lynnwood, WA 98036-7010
Phone (425) 672-7293

Other identifiers 2

IdentifierTypeStateIssuer
1083061352MedicaidWA
2088767MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171017001482 WA Practitioner - Physician Assistant 9830465012 Reassigns benefits to 2 organizations
I20250306001359 TX Practitioner - Physician Assistant 9830465012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care PLLCGroup PAC ID 4486999232, 3 clinicians
Swinomish Health ServicesGroup PAC ID 2961821863, 15 clinicians

Practice addresses (Care Compare)

11812 N Creek Pkwy N
Suite 202
Bothell, WA 98011-8202
Phone (425) 287-5500

8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swinomish Health Services PastSince Oct 4, 2020 Accepting new patients
Prime Care PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric.ramosmalpica@3394.securemail.prognocis.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1083061352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 EVERGREEN WAY STE Z150",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043889",
            "telephone_number": "425-347-5121",
            "fax_number": "425-353-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11812 N Creek Pkwy N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980118202",
            "country_code": "US",
            "telephone_number": "425-287-5500",
            "fax_number": "425-287-6440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2322 196th St SW",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980367010",
            "country_code": "US",
            "telephone_number": "425-672-7293",
            "fax_number": "425-329-4640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS MALPICA",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60794472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083061352",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.